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8-9JuneThe Lodge at Old KinderhookCamdenton, Missouri
2018
conne ct learn re lax re char ge
It was Memorial Day, Teri Ackerson finished a six mile run in preparation for her next marathon, went home for a shower, then visited a Starbucks for a latte with her teenage son, Parker.
Driving away, her grip on her coffee cup loosened as her left arm suddenly went numb. She felt the left side of her face droop down and she couldn’t speak.
“Mom,” Parker said, “I think you’re having a stroke...”
Teri Ackerson, BSN, RN, SCRN, CNRNKeynote Speaker:
REGISTER BY MAY 8 AND SAVE $50 (DOES NOT APPLY TO 1-DAY REGISTRATIONS)
Join us to hear about T eri's incredible journey...
Friday, June 8, 20187:00 - 8:00 am Registration and Breakfast Buffet with Exhibitors 7:00 - 11:00 am Exhibit Hall Open (Grand Ballroom A) *All lectures will be held in Grand Ballroom B 8:00 - 9:00 am Perspectives on True Palliative Care Timothy Ihrig, MD, MA
9:00 - 10:00 am Ascertaining the Role of the Primary Care Clinician in the Recognition and Management of Patients with Multiple Sclerosis in the Modern Era Barry Singer, MD, PhD Sponsored by Peer View Institute for Medical Education
10:00 - 10:45 am Refreshment Break with Exhibitors (Grand Ballroom A) 10:45 - 11:45 am The Heart of Athletic Screening EKG's David Glover, MD, FAAFP
11:45 am - 12:00 pm Break
12:00 - 1:00 pm Luncheon Speaker: Help Wanted: No Experience Necessary (Hearth Room) Teri Ackerson, BSN, RN, SCRN, CNRN 1:00 - 1:15 pm Break 1:15 - 2:15 pm Health Through the Eyes of Culture Nick Comninellis, MD, MPH, DIMPH
2:15 - 3:15 pm Perspectives in Primary Care: Evaluating and Managing Patients with Chronic Urticaria Anne Marie Ditto, MD Sponsored by Spire Learning and North Carolina Academy of Family Physicians
3:15 - 4:15 pm Optimizing the Primary Care Workforce for Value-Based Care Nicholas Bartz, MBA
5:15 - 6:15 pm Reception (Creek View Conference Center)
6:15 - 8:15 pm Awards and Installation Dinner (Creek View Conference Center)
• 2018 Family Physician of the Year Award • Soaring Eagle Award • Installation of President & Board Members • AAFP Degree of Fellow Convocation • Tar Wars Poster Contest Award
Saturday, June 9, 20187:00 - 8:00 am Registration and Breakfast Buffet with Exhibitors 7:00 - 11:00 am Exhibit Hall Open (Grand Ballroom A) *All lectures will be held in Grand Ballroom B
8:00 - 9:00 am Recruitment of Women and Minorities onto Clinical Trials at a NCI-Comprehensive Cancer Center and the Role of the Primary Care Physician Lannis Hall, MD, MPH 9:00 - 10:00 am Breast Cancer Screening Recommendations Theresa Schwartz, MD, MS, FACS
10:00 - 10:45 am Refreshment Break with Exhibitors (Grand Ballroom A) Prizes awarded. Must be present to win. 10:45 - 11:45 am Reproductive Health Care: Conversations for Family Physicians and Their Patients Wael Mourad, MD, MHCM, FAAFP Sponsored by California Academy of Family Physicians
11:45 am - 12:00 pm Break
12:00 - 1:30 pm Annual Business Meeting and Legislative Luncheon (Creek View Conference Center)
1:30 - 1:45 pm Break
1:45 - 2:45 pm Do You See What Eye See: Primary Care Ophthalmology Gary LeRoy, MD, FAAFP
2:45 - 3:45 pm No Bones About It: An Osteoporosis Update Beth Rosemergey, DO, FAAFP
3:45 - 4:45 pm Resident and Student Poster Presentations Sponsored by Missouri Health Professional Placement Services
5:30 - 7:30 pm Family Fun Fiesta Join us for an evening of fun-filled family activities! (Cabana Patio)
Sunday, June 10, 20189:15 - 11:00 am Commission Meetings (Continental Breakfast in Grand Ballroom A) Advocacy - Grand Ballroom A Member Services - Red Oak Education - Cypress Room 11:00 am - 1:30 pm Board Meeting with Working Lunch (Grand Ballroom A)
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AIL
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AFP
Name:
AAFP ID#:
Address:
City:
State: Zip:
Phone: Fax:
Email:
MD DO One-Day Only* Full AmountMAFP Member $200 □Friday
□Saturday $375 $
New Physician (within 7 yrs of residency completion)
$175□Friday□Saturday $325 $
Life Member $100 □Friday□Saturday $175 $
Resident or Student $0 □Friday□Saturday $0 $
AAFP Member(Non-Missouri member) $210 □Friday
□Saturday $400 $
Non-Member Physician $225 □Friday
□Saturday $450 $
Non-PhysicianAttendee $125 □Friday
□Saturday $200 $
Syllabus Materials (Printed $50) Free if you download online version (available closer to conference)Free for Life Members
$50 xxxxxxxx $50 $
Will you be conferred at the Fellow Convocation? If yes please deduct $50 from your total. You are allowed one guest (complimentary).□I am being conferred □Yes, I will bring a guest
-$50 $
Early-Bird Discount (until 5/8/2018) *Does not apply to 1-day registration -$50 $
FHFM Donation (Tax Deductible)Tax ID 43-1480324 Optional $
Registration Total $
Event Will You Be Attending?
# Of GuestsAttending Fee Per Guest Amount
Friday Breakfast □Yes □No $25 $Friday Lunch □Yes □No $25 $Friday Dinner: Awards & Installation Dinner □Yes □No $40 $Saturday Breakfast □Yes □No $25 $Saturday Lunch: Annual Business Meeting & Legislative Luncheon □Yes □No $25 $Saturday Dinner: Family Fun Fiesta □Yes □No $35 $Family Fun Fiesta (Child age 5-12) xxxx xxxx $10 $Family Fun Fiesta (Child age 0-4) xxxx xxxx $0 FreeCME sessions, meals, breaks, and electronic syllabus are included in the registration fee. All functions in the exhibit hall are for registrants only. By registering for this conference, I authorize MAFP to use photographs of me with or without my name for any lawful purpose, including print or online marketing.
Total (RSVP & Guest Options) $
Total from Above (Registration) $
Total Amount Due $
□ Enclosed is my check made payable to: Missouri Academy of Family Physicians
Amount Due $ Please charge my: □ MasterCard □ Visa □ Discover □ American Express
Name on Card Billing Zip Expiration Date 3-Digit Security Code
Card # Signature
Special dietary or physical accommodations required? If so, please list:
Other
REGISTRATION
RSVP & GUEST OPTIONS
PAYMENT OPTIONS
FAAFP
FOUR WAYS TO REGISTER: Online with credit card at www.mo-afp.org • Fax this form to (573) 635-0148 • Call us at (573) 635-0830 • Mail this form with payment to: MAFP, 722 West High Street, Jefferson City, MO 65101-1526
REGISTRATION CANCELLATIONS must be in writing and received by MAFP no later than May 8, 2018. MAFP policy requires a $50 administrative fee be deducted from each refund processed. Questions? Call (573) 635-0830 or email: [email protected].
Show Me Family Medicine ConferenceJune 8-9, 2018
The Lodge at Old Kinderhook678 Old Kinderhook Drive
Camdenton, MO 65020 573.317.3500 or 888.346.4949
www.oldkinderhook.com
REGISTRATION FORM
Please complete this section if you received a letter notifying you of a Membership Anniversary.
□ Yes, I received my Membership Anniversary letter and will attend the Awards & Installation Dinner on Friday evening, June 8. □ One complimentary guest will accompany me to the dinner.
Register by (May 8) and be entered to win a FREE two-night stay at the Lodge at Old Kinderhook
MEMBERSHIP ANNIVERSARY?
722 West High StreetJefferson City, MO 65101
678 Old Kinderhook DriveCamdenton, MO 65020
573.317.3500 or 888.346.4949www.oldkinderhook.com
Timothy Ihrig MD, MA
Barry SingerMD, PhD
David GloverMD, PhD
Nick Comninellis MD, MPH, DIMPH
Anne Marie Ditto MD
Nicholas BartzMBA
Teri AckersonBSN, RN,
SCRN, CNRN
Lannis HallMD, MPH
Theresa SchwartzMD, MS, FACS
Wael Mourad MD, MHCM,
FAAFP
Gary LeRoyMD, FAAFP
Beth RosemergeyDO, FAAFP
Meet the Speakers
REGISTER BY MAY 8 AND SAVE $50 (DOES NOT APPLY TO 1-DAY REGISTRATIONS)
HOTEL RESERVATIONS
Lodging Type Group RateGuest Room - The Lodge at Old Kinderhook $158.00One Bedroom Golf Cottage $259.00
Rates are subject to applicable tax, currently 9.975% (5.475% sales tax, 3% lodging tax & 1.5% HOA Surcharge). The group rate may be honored two days prior and two days following the group block dates, based upon availability. You may also log on to www.oldkinderhook.com to make your reservation. You will enter dates and then apply the GROUP CODE 180607MAFP to access the group block and rates.
*You may see a notification of “no availability” before you enter your group code. Please continue and enter the group code to gain access to the group room block.
The Lodge at Old Kinderhook features 84 total guest rooms, based upon availability at the time of request. A limited number of One Bedroom Golf Cottages are also available on a first come first serve basis.
SHOW ME FAMILY MEDICINE CONFERENCE